Individual
DR. SEAN RYAN CHRISTENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
40 TEMPLE ST, SUITE 5A, NEW HAVEN, CT 06510-2715
(203) 785-3466
(203) 785-5256
Mailing address
PO BOX 208059, 333 CEDAR ST, NEW HAVEN, CT 06520-8059
(203) 785-4632
(203) 785-7637
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
050079
CT
207ND0101X
MOHS-Micrographic Surgery Physician
50079
CT
207NS0135X
Procedural Dermatology Physician
50079
CT
Other
Enumeration date
12/11/2007
Last updated
02/27/2014
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